Gliederung

We report a case of a young adult patient who primarily revealed symptoms of orbitocellulitis as complication of odontogenous acute rhinosinusitis. Proper diagnostic (incl. CT of paranasal sinuses and orbit) and therapeutical measures (incl. FESS-drainage of maxillary sinus, putrid tooth extraction, antibiotics) were undertaken to manage the disease immediately after stationary admission. Two weeks after inconspicuous healing period a hemiparesis due to an intracranial empyema formation developed.

The consecutive orbital and intracranial complications of an acute rhinosinusitis are rare but must be mutually excluded in a complicated rhinosinusitis even when proper surgical and medical treatment tend to efficient healing of orbital complication.

The correct indication of imaging methods, the evaluation of diminutive symptoms and the role of underlying mechanisms of intracranial abscess formation is discussed.